person
Mary Teresa Rodrigues, LCPC
Addiction (Substance Use Disorder) Counselor in Santa Fe, New Mexico
NPI 1114088291

Mary Teresa Rodrigues is an Addiction (Substance Use Disorder) Counselor based in Tesuque, NM and is specialized in Addiction (Substance Use Disorder). Mary Teresa Rodrigues practices in Santa Fe, NM and has the professional credentials of LCPC. The NPI Number for Mary Teresa Rodrigues is 1114088291 and holds a License No. 1106 LCPC (New Mexico).

The current practice location address for Mary Teresa Rodrigues is 505 Camino De Los Marquez, Santa Fe, NM and can be reached out via phone at 505-490-1801 and via fax at 505-455-8876. You can also correspond with Mary Teresa Rodrigues through the mailing address at PO BOX 319, TESUQUE, NM - 87574-0319 (mailing address contact number: 505-490-1801).

Location: 505 Camino De Los Marquez, Santa Fe, NM, 87574-0319
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Provider Profile Details
NPI Number
1114088291
Provider Name
Mary Teresa Rodrigues
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
505 Camino De Los Marquez, Santa Fe, NM, 87574-0319
Phone Number
505-490-1801
Fax Number
505-455-8876
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000743550 01 MT BLUE CROSS-SHIELD OF MONT
institution
Provider Business Practice Location Address Details
Address
505 Camino De Los Marquez
City
State
Zip
87505-1837
Phone Number
505-490-1801
Fax Number
505-455-8876
person
Provider Business Mailing Address Details
Address
Po Box 319
City
State
Zip
87574-0319
Phone Number
505-490-1801
Fax Number
505-455-8876
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0163871 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0120871 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1106 LCPC (Montana)
Definition
Definition to come...
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